Plantar cuneonavicular ligaments

Ligamenta cuneonavicularia plantaria

Fibrous bands in the sole that fasten the underside of the navicular to the three cuneiform bones in front of it.

At a glance

English
Plantar cuneonavicular ligaments
Latin (TA2)
Ligamenta cuneonavicularia plantaria
System
Ligament
Region
Foot
Side
Paired, left and right

About the plantar cuneonavicular ligaments

The plantar cuneonavicular ligaments are a set of short bands on the underside of the midfoot. They pass forwards from the plantar side of the navicular to the plantar sides of the medial, intermediate and lateral cuneiforms, so each cuneiform receives its own slip. They strengthen the cuneonavicular joint, a compound plane synovial joint in which the convex front of the navicular carries three facets, one for the back of each cuneiform.

On the upper side of the foot a matching set, the dorsal cuneonavicular ligaments, does the same job, and on the medial side a further band links the navicular to the medial cuneiform. The plantar bands are stronger than the dorsal ones. In the sole they are closely related to the tendon of tibialis posterior, whose main insertion is on the navicular tuberosity and whose slips spread forwards across these ligaments to the cuneiforms, so that tendon and ligaments together form a strong plantar floor on the medial side.

The navicular and cuneiforms belong to the medial column of the foot, which carries the medial longitudinal arch from the talus to the first three metatarsals. The joint between them allows little more than slight gliding and rotation, and the plantar ligaments help keep it rigid enough to transmit load forwards to the forefoot during push-off. They act as ties on the concave underside of the arch, resisting the tendency of the bones to separate when weight presses them downwards.

Laxity at this level, often called a naviculocuneiform sag, is one of the places where the medial arch can collapse in flatfoot. It is seen on a standing lateral radiograph as a break in the line running through talus, navicular and first metatarsal.

Attachments and function

Attaches from
The plantar side of the navicular.
Attaches to
The plantar sides of the medial, intermediate and lateral cuneiforms, one slip to each.
Function
Bind the cuneiforms to the navicular, strengthen the cuneonavicular joint from below and help support the medial longitudinal arch.
Nerve supply
Articular branches of the medial plantar nerve.
Blood supply
Branches of the medial plantar artery.

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